Individual provider Active NPI

Hovhannes Ghazaryan, MD

  • Pain Medicine Physician
  • Fullerton, CA
National Provider Identifier
1851910665
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
A184528 Issued in CA
Practice address
100 N State College Blvd Ste H
Fullerton, CA 92831-4236
Phone
(714) 824-6565
Fax
(714) 930-7926
NPI assigned
Apr 11, 2020
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X A184528 CA Primary

Addresses

Primary practice location

100 N State College Blvd Ste H
Fullerton, CA 92831-4236

Mailing address

100 N State College Blvd Ste H
Fullerton, CA 92831-4236
Phone (714) 824-6565

Other practice location 1

11100 Warner Ave Ste 310
Fountain Valley, CA 92708-4009
Phone (714) 824-6560

Other practice location 2

1125 E 17th St Ste N452
Santa Ana, CA 92701-2270
Phone (714) 597-7214

Other names 1

  • Dr. Hovhannes Ghazaryan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230908003550 CA Practitioner - Pain ManagementPractitioner - Emergency Medicine 1951765965 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Emergency Medicine
Education
Drexel University College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prowellness Healthcare IncGroup PAC ID 3870027220, 4 clinicians
Doctors on the Go Inc.Group PAC ID 6002296308, 4 clinicians

Practice addresses (Care Compare)

425 E Colorado St
Glendale, CA 91205-5117
Phone (818) 532-2222

8439 White Oak Ave
Suite 103
Rancho Cucamonga, CA 91730-3860
Phone (818) 337-6488

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A184528CAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prowellness Healthcare Inc. CurrentSince Oct 15, 2024 Accepting new patients
Algos Inc., a Medical Corporation Pain Medicine CurrentSince Sep 29, 2025 Accepting new patients
Algos Inc., a Medical Corporation Pain Medicine Current Accepting new patients
Doctors on the Go Inc. CurrentSince Aug 24, 2023 Accepting new patients
The Metrohealth System Current Accepting new patients
Algos Inc., a Medical Corporation Pain Medicine CurrentSince Sep 29, 2025 Accepting new patients

Locations

830 S Citrus Ave
Ste 201
Azusa, CA 91702
Phone (626) 974-1441

11100 Warner Ave
Ste 310
Fountain Vly, CA 92708
Phone (714) 824-6560

100 N State College Blvd
Ste H
Fullerton, CA 92831
Phone (714) 824-6565

425 E Colorado St
Ste 535A
Glendale, CA 91205
Phone (818) 532-2222

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

8439 White Oak Ave
Ste 103
Rancho Cucamonga, CA 91730
Phone (818) 337-6488

1125 E 17th St
Ste N452
Santa Ana, CA 92701
Phone (714) 597-7214

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hghazaryan280139@direct.metrohealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1851910665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N STATE COLLEGE BLVD STE H",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314236",
            "telephone_number": "714-824-6565",
            "fax_number": "714-930-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N STATE COLLEGE BLVD STE H",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314236",
            "telephone_number": "714-824-6565",
            "fax_number": "714-930-7926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Warner Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927084009",
            "country_code": "US",
            "telephone_number": "714-824-6560",
            "fax_number": "714-475-2154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 E 17th St Ste N452",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927012270",
            "country_code": "US",
            "telephone_number": "714-597-7214",
            "fax_number": "714-727-3290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAZARYAN",
        "first_name": "HOVHANNES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-11",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A184528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOVHANNES",
            "last_name": "GHAZARYAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.